NPI 1588068522

Jesse Ray Hall, MSRDNCD

Practitioner Registered Dietitian Keizer, OR

Practice location

Address: 5940 Ulali Dr NE, Keizer, OR 97303-1500
Phone: (503) 304-5738
Fax: (503) 304-5725

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 10179690 (OR)

Other Dietitian, Registered providers in Oregon →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DI60506429 (WA)

Registry record

NPI: 1588068522
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2014
Record last updated: 27 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.